| NPI | 1366716920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104912) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-12-10105) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2024-09-13 |