| NPI | 1285142059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 116342) |
| 106S00000X Behavior Technician | |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-08-17 |