| NPI | 1457613416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92616) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-9432) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-11-01 |