| NPI | 1194129213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 89800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89800) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2017-03-08 |