| NPI | 1326500612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142579) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-07-02 |