| NPI | 1407253495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83377) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-16-18596) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2019-08-16 |