| NPI | 1659046951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT4518) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-25-502919) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2026-06-01 |