| NPI | 1053966796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 165076) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 106H00000X Marriage & Family Therapist (Licence: CA 138624) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2026-09-03 |