| NPI | 1407474653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-49211) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119472) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-06-23 |