NPI | 1780242255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014897) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-19-84425) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2025-10-17 |