| NPI | 1972892560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84291) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-10-6761) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2022-02-23 |