NPI | 1861053225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT134473) |
Additional Taxonomies | 106S00000X Behavior Technician |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-26 |
Last Update Date | 2023-11-17 |