NPI | 1285844589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT42822) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-11-9456) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2023-11-27 |