| NPI | 1659856912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124178) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-04-19 |