| NPI | 1013209279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 264-140) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 956-124) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2021-01-21 |