NPI | 1326506965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF125890) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106S00000X Behavior Technician | |
Enumeration Date | 2019-03-02 |
Last Update Date | 2021-05-18 |