NPI | 1841065935 |
---|---|
Former Name | MONICA RAE RUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-41753) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 119202) |
Enumeration Date | 2023-11-17 |
Last Update Date | 2024-03-29 |