NPI | 1912260589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50310) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1095670) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2024-09-19 |