| NPI | 1902419765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 20107A) |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2026-04-07 |