NPI | 1457997025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4138) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-11-19 |
Last Update Date | 2022-10-24 |