NPI | 1598288698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-17-37155) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2021-11-04 |