NPI | 1689267445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 148231) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-02-12 |
Last Update Date | 2024-08-14 |