| NPI | 1316417488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121657) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 142680) |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2026-02-26 |