| NPI | 1497326128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR A391223) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2024-03-19 |