| NPI | 1124449269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-12863) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT107867) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2022-11-02 |