| NPI | 1255080156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT4242) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-191466) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2024-11-08 |