| NPI | 1922564871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT138911) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122982) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-04-04 |