| NPI | 1669082806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133361) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-20-113582) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-03-08 |