| NPI | 1184908543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst (Licence: 1-14-10387) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2021-09-07 |