| 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 |