| NPI | 1093501058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164367) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2026-07-27 |