NPI | 1881075935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111461) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106H00000X Marriage & Family Therapist (Licence: CA 63028) | |
Enumeration Date | 2015-06-15 |
Last Update Date | 2020-12-25 |