NPI | 1407445448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT-157288) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR ABA-IN-10208793) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2025-08-27 |