| NPI | 1588020614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67161) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2930) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2023-08-29 |