| NPI | 1770612814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52045) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-16-22294) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-02-18 |