| NPI | 1376045732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137220) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA BACB392586) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2025-04-12 |