| NPI | 1013576206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135366) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 153066) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2025-03-10 |