| NPI | 1659862951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00005190) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2025-07-15 |