| NPI | 1699278432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129206) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-45312) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-08-11 |