| NPI | 1366842114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108255) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2024-02-27 |