NPI | 1437763315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT133773) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-09-08 |
Last Update Date | 2024-05-08 |