| NPI | 1134609001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 00002344) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-60130) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-03-01 |