| NPI | 1609377449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002442) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717002039) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2024-02-20 |