| NPI | 1952767436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-14-10416) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA IMF68474) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |