| NPI | 1528567682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113735) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00003984) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2019-06-19 |