NPI | 1023667540 |
---|---|
Former Name | HAYLEY RAE TOBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136730) |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-09-06 |
Last Update Date | 2023-07-26 |