| NPI | 1760940266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT143509) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-66582) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2024-04-10 |