NPI | 1265923890 |
---|---|
Former Name | AMBER NIETO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-49779) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 146127) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-05-18 |
Last Update Date | 2024-11-21 |