| NPI | 1669102976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-22-215303) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2024-12-09 |