| NPI | 1770716086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT77391) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8730) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2021-09-14 |