| NPI | 1407152929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-16-21826) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: CA 1015) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2019-10-02 |