NPI | 1831697945 |
---|---|
Former Name | NATASHA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133243) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106S00000X Behavior Technician | |
Enumeration Date | 2018-01-24 |
Last Update Date | 2023-09-20 |