| NPI | 1215527171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001877) |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2026-05-16 |