NPI | 1235647785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT137995) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106S00000X Behavior Technician (Licence: CA 00003962) | |
Enumeration Date | 2018-01-18 |
Last Update Date | 2024-04-04 |