NPI | 1962920991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT4140) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician | |
106S00000X Behavior Technician | |
Enumeration Date | 2017-08-30 |
Last Update Date | 2024-07-05 |