| NPI | 1881102234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10352) |
| 106S00000X Behavior Technician (Licence: CA RBT-16-14105) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-05-24 |