| NPI | 1831692334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120136) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2020-08-04 |