| NPI | 1497407027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101YM0800X) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 101YM0800X) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |