| NPI | 1093277543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155547) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-10-22 |