| NPI | 1427536564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT3593) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-05-13 |