| NPI | 1487834180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001612A) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2015-03-09 |