| NPI | 1588870430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT2535) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-05-31 |