| NPI | 1770952103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136013) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2022-12-12 |