| NPI | 1841708880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107191) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 139058) |
| 106S00000X Behavior Technician (Licence: CA RBT-16-13347) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-05-09 |