| NPI | 1184139453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149429) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2024-10-02 |