| NPI | 1659723971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT108550) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-06-09 |