| NPI | 1407364920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148039) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106S00000X Behavior Technician (Licence: CA RBT-16-26705) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2024-10-04 |