| NPI | 1316444987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 9074) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YP2500X Counselor, Professional (Licence: CA 9074) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-11-08 |