| NPI | 1497313787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-88162) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2022-07-16 |