| NPI | 1962165860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 125888) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-08-23 |