| NPI | 1215362819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF71109) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2025-05-27 |