NPI | 1649975780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138339) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 138339) |
Enumeration Date | 2023-03-30 |
Last Update Date | 2024-03-07 |