| NPI | 1356843841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health (Licence: FL MH15356) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2022-06-02 |