| NPI | 1689155459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-59054) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-03-06 |