| NPI | 1508424938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT138739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 138739) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2025-04-08 |