| NPI | 1114576022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150265) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-11-22 |