| NPI | 1285199182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-33525) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AMFT153115) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2025-02-27 |