| NPI | 1760957146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127614) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT127614) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2024-05-31 |