NPI | 1174028567 |
---|---|
Former Name | REBECCA HOLTZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-37439) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-05-22 |