| NPI | 1891330957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT136390) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC12871) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2023-08-14 |