| NPI | 1649425737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1935) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2020-07-24 |