NPI | 1366011272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20292A) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 11707) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2024-10-02 |