| NPI | 1104317361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130606) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-53604) |
| 106H00000X Marriage & Family Therapist (Licence: CA 117755) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-01-26 |