NPI | 1184258477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT137260) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-02-26 |
Last Update Date | 2023-02-01 |