| NPI | 1295200665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139885) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106533) |
| 106S00000X Behavior Technician (Licence: CA RBT-18-54640) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2023-06-14 |