| NPI | 1760235832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154662) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2025-11-11 |