| NPI | 1487139101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113572) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-63221) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2020-05-29 |