| NPI | 1316504871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-49142) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113339) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-05-11 |