| NPI | 1992190466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18321) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84526) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |