| NPI | 1114617537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 473420) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-08-01 |