| NPI | 1669961447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 18758) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 155572) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-06-10 |