| NPI | 1558975110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT164776) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-20-112096) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2026-08-12 |