| NPI | 1851658926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 40319) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |