| NPI | 1760013528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC11631) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 11631) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2022-11-03 |