| NPI | 1831649672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 20438A) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 675) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2025-11-21 |