| NPI | 1750414256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 47478) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT47478) |
| 103K00000X Behavior Analyst (Licence: BACB525296) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-07-24 |