NPI | 1982267803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119953) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7986) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-04-16 |
Last Update Date | 2023-01-24 |