NPI | 1689195166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140418) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
Enumeration Date | 2017-07-05 |
Last Update Date | 2024-03-13 |