| NPI | 1134685852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145518) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007480) |
| 106S00000X Behavior Technician (Licence: CA RBT-19-78648) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2024-07-26 |