| NPI | 1558837872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152337) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 131865) |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-01-02 |