| NPI | 1013527514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 10202) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2024-11-14 |