| NPI | 1548529498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 24726) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-04-1816) |
| 103TS0200X Psychologist, School (Licence: CA LEP1844) | |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2019-12-12 |