NPI | 1144781246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129545) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-03-29 |
Last Update Date | 2022-02-15 |