| NPI | 1477889095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-07-3509) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0116211) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 32183) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2023-01-18 |