| NPI | 1609274976 |
|---|---|
| Other Name | PEGAH JENNIFER HEIDARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77504) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2015-05-28 |