| NPI | 1780983346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-11-9331) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91170) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2020-08-05 |