| NPI | 1487139101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132267) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 113572) |
| 106S00000X Behavior Technician (Licence: CA RBT-18-63221) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2025-05-23 |