NPI | 1225674492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT143257) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-11-22 |
Last Update Date | 2024-07-17 |