| NPI | 1124197306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-12-12443) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF50070) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-08-15 |