| NPI | 1346757473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2639) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-11-11 |