| NPI | 1306134226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-08-4144) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 83997) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2023-03-14 |