| NPI | 1679284343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT150575) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-11-07 |