| NPI | 1184123879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149755) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ D08358190) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2025-06-04 |