NPI | 1457613416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92616) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-9432) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2023-11-01 |