NPI | 1780247981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150048) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 130501) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-04-15 |
Last Update Date | 2024-09-26 |