NPI | 1316444987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 18481) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 9074) |
106H00000X Marriage & Family Therapist (Licence: CA 9074) | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2025-03-19 |