| NPI | 1689268583 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 5039-R)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 5039-R)  | 
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-02-22 | 
| Last Update Date | 2025-07-24 |