| NPI | 1104316421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142706) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123196) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-10-22 |