| NPI | 1861053225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT134473) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 106S00000X Behavior Technician | |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT159253) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-11-20 |