| NPI | 1316398142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL 3270) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2018-03-17 |