| NPI | 1235552373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1260) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 2295) |
| 106H00000X Marriage & Family Therapist (Licence: CA 89453) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2024-04-02 |