NPI | 1689189961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150657) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2017-12-07 |
Last Update Date | 2024-10-20 |