| NPI | 1972138329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT130320) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2026-01-29 |