NPI | 1104317361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130606) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-53604) |
106H00000X Marriage & Family Therapist (Licence: CA 117755) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2022-01-26 |