| NPI | 1467850271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 4639) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2020-09-25 |