| NPI | 1568160463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT157456) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2025-09-25 |