| NPI | 1558931105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149227) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106S00000X Behavior Technician | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2024-09-09 |