NPI | 1144653593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106159) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2013-08-20 |
Last Update Date | 2023-10-29 |