| NPI | 1366901670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128623) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10501) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2021-11-24 |