| NPI | 1992200505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131282) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 131282) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-08-02 |