| NPI | 1821632365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT141260) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YP2500X Counselor, Professional (Licence: CA APCC14773) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-10-04 |