| NPI | 1538605514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT138437) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA AMFT123048) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2023-03-21 |