| NPI | 1316714017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143588) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 143588) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-04-30 |