| NPI | 1215142831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: FL SS1083) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-2043653) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2271) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-05-11 |