| NPI | 1023110475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2531) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2024-09-27 |