| NPI | 1659620300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-10-7135) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9495) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2023-10-10 |