| NPI | 1700392925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-574) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT-867) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2025-03-12 |