| NPI | 1982256020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 161963) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 22107) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2026-06-01 |