| NPI | 1720628464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131108) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-19-38745) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2022-03-22 |