| NPI | 1033752985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147255) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2026-03-05 |