| NPI | 1508366774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 12151098) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99267) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2023-12-28 |