NPI | 1154103869 |
---|---|
Former Name | LONG CHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106S00000X Behavior Technician | |
Enumeration Date | 2023-10-17 |
Last Update Date | 2025-06-24 |