| NPI | 1649634163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-21213) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 40567) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |