NPI | 1174224216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT158524) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
373H00000X Day Training/Habilitation Specialist | |
106S00000X Behavior Technician | |
Enumeration Date | 2023-03-15 |
Last Update Date | 2025-10-08 |