| NPI | 1962900514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137761) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122337) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2023-04-07 |