| NPI | 1043459829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-7628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10159) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2441) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2020-05-06 |