| NPI | 1366011272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20292A) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 11707) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2026-03-05 |