| NPI | 1639654593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT98528) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-17372) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |