| NPI | 1396963831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-08-4242) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1265) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2024-11-19 |