| NPI | 1033626130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MT3428) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3428) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2025-06-18 |