| NPI | 1376027656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT154626) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-65522) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2025-06-11 |