| NPI | 1003431685 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT138635)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105876)  | 
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT105876)  | |
| 106S00000X Behavior Technician (Licence: CA 105876)  | |
| Enumeration Date | 2020-06-10 | 
| Last Update Date | 2023-07-14 |