NPI | 1376921379 |
---|---|
Former Name | CARA YETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist School (Licence: CA 4268) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-11-07 |