| NPI | 1205454709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT5121) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2025-01-20 |