NPI | 1992220669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-678) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2017-08-03 |
Last Update Date | 2021-02-01 |