NPI | 1770066953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-18-29613) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 133532) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2023-03-03 |