| NPI | 1245720440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT10000227) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 18-48217) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2025-11-26 |