| NPI | 1497257349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT110602) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-32057) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2020-03-17 |