| NPI | 1205369899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT100834) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-17-25606) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2021-12-28 |