| NPI | 1386243251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-20-141274) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-06-05 |