| NPI | 1235607870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126952) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC9890) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2021-07-20 |