| NPI | 1295200350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0002351) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 138209) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2023-04-11 |