| NPI | 1609423995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126263) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2022-04-28 |