| NPI | 1881105195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT152582) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110942) |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2026-05-12 |