| NPI | 1184258477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT137260) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-02-01 |