| NPI | 1639616212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT120953) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-07640) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2020-10-28 |