NPI | 1316714017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143588) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 143588) |
Enumeration Date | 2023-12-04 |
Last Update Date | 2024-04-30 |