| NPI | 1588274328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT131325) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT131325) |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-03-22 |