| NPI | 1902186620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-36308) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2022-01-26 |