| NPI | 1417428103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101Y00000X Counselor | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-04-02 |