| NPI | 1194338525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT138100) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-03-29 |