| NPI | 1659674539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-26-88337) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 2814-R) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT91094) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2026-03-24 |