| NPI | 1104257278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121648) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF101652) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2021-12-01 |