| NPI | 1508117045 |
|---|---|
| Former Name | KIRSTEN NICOLE EBERLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-10192) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106536) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2023-01-12 |