| NPI | 1336574938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 11829136) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75379) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2018-07-02 |