NPI | 1578030409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127355) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-68977) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2021-09-28 |