| NPI | 1003028804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-41101) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT 658) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-02-29 |