| NPI | 1306488010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT155047) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 46-1305562) |
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-06-10 |