| NPI | 1568975191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139566) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118328) |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-11-17 |