| NPI | 1679298996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 159548) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2026-05-28 |