| NPI | 1730682600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT164143) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT140082) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2026-06-29 |