| NPI | 1386105047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT134341) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC11982) | |
| 106S00000X Behavior Technician (Licence: CA 00007050) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-06-28 |