| NPI | 1457677239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MT3345) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3345) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2022-04-20 |