| NPI | 1972988533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108313) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 5131) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2026-05-08 |