| NPI | 1023555653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136016) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-07-21 |