NPI | 1477889095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-07-3509) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0116211) |
106H00000X Marriage & Family Therapist (Licence: CA MFC 32183) | |
Enumeration Date | 2009-11-02 |
Last Update Date | 2023-01-18 |