NPI | 1053857466 |
---|---|
Former Name | AMANDA RENEE FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136377) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-01-09 |
Last Update Date | 2023-01-09 |