| NPI | 1649582495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 8702) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-10-23 |