| NPI | 1235483918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF96261) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-12-5192) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2016-11-13 |