NPI | 1467939736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136353) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 136353) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-07-19 |
Last Update Date | 2024-11-19 |