NPI | 1023679735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141368) |
Additional Taxonomies | 106S00000X Behavior Technician |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-24 |
Last Update Date | 2023-09-12 |