| NPI | 1467939736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136353) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 136353) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-11-19 |