NPI | 1356987507 |
---|---|
Former Name | SAVANNAH ANGELI BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT140615) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-11-22 |
Last Update Date | 2023-08-21 |