| NPI | 1639535883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125375) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-19988) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2021-08-12 |