| NPI | 1649740119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 46-1305562) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2023-06-15 |