| NPI | 1902322860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-08-13 |