| NPI | 1528527330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138640) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 46-1305562) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-03-14 |