NPI | 1760941249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT153520) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126028) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-03-14 |
Last Update Date | 2025-03-31 |