| NPI | 1750550802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 12368124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44290) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2024-03-07 |