| NPI | 1598433526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT162046) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2026-04-23 |