| NPI | 1225694722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14364) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-09-01 |