| NPI | 1417395641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1686) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 1686) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2025-04-28 |