NPI | 1902151467 |
---|---|
Former Name | HANNAH CARDONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-27257) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 81427) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-07-19 |
Last Update Date | 2018-03-17 |