| NPI | 1376072421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI4053) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician (Licence: RBT-18-74268) | |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2022-02-06 |