| NPI | 1881270478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 135396) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-10-26 |