| NPI | 1932615325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144424) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-36839) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2024-09-03 |