| NPI | 1083253959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164321) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YP2500X Counselor, Professional (Licence: CA 14730) | |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2026-09-16 |