NPI | 1912586223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61433327) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-04-05 |
Last Update Date | 2023-08-02 |