| NPI | 1336653997 |
|---|---|
| Former Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-54770) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3253) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2022-12-06 |