| NPI | 1760941249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT153520) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126028) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-03-31 |