| NPI | 1457018350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000868) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-190754) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2025-04-14 |