| NPI | 1265083604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145582) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-06-07 |