| NPI | 1578223301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 106S00000X) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-02-27 |