| NPI | 1477192714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT5368) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2026-05-13 |