| NPI | 1750613899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4006) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC38199) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2022-07-25 |