| NPI | 1336634419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138589) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-58749) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-08-14 |