| NPI | 1629442058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 138717) |
| 101Y00000X Counselor (Licence: CA 138717) | |
| 103K00000X Behavior Analyst (Licence: CA RBT-15-05642) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2025-12-04 |