NPI | 1053060459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144512) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-03-22 |
Last Update Date | 2024-06-05 |