| NPI | 1215202676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-12-10097) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77130) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2022-05-03 |