NPI | 1528477957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59099) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2014-08-11 |
Last Update Date | 2022-05-25 |