| NPI | 1508364787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135287) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00003204) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-02-06 |