NPI | 1760924617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 80282) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2016-11-09 |
Last Update Date | 2024-01-08 |