| NPI | 1841998358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1176-228) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI RBT-23-253582) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2025-06-30 |