NPI | 1770244584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT144910) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-01-04 |
Last Update Date | 2024-04-08 |