| NPI | 1578934428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101576) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2020-03-11 |