NPI | 1376889337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01500) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ D06414303) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2018-03-17 |