| NPI | 1992178669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 11589) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204548) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF81876) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2025-11-18 |