| NPI | 1376005041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135152) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6362) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2022-11-07 |