NPI | 1730728858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135377) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-01-06 |
Last Update Date | 2022-11-17 |