| NPI | 1326665076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141834) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 1992634) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-10-30 |