| NPI | 1649683285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc85890) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-15144) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-05-13 |