| NPI | 1952673154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 66728) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-17019) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-08-19 |