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 |