| NPI | 1548816960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 115901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT115901) |
| 106S00000X Behavior Technician | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-02-06 |