| NPI | 1245647791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148054) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-10-01 |