NPI | 1013576206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135366) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
225400000X Rehabilitation Practitioner | |
106S00000X Behavior Technician | |
Enumeration Date | 2019-06-11 |
Last Update Date | 2022-10-18 |