| NPI | 1568927093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA A126653) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA A9830) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-12-05 |