| NPI | 1689141293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 161667) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YP2500X Counselor, Professional (Licence: CA 22016) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2026-02-20 |