| NPI | 1184280380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127555) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker (Licence: CA 127555) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-07-08 |