| NPI | 1639587959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 78638) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-17-24967) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2021-07-01 |