| NPI | 1174182448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2026-06-16 |