| NPI | 1982021614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 69274) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2018-06-12 |