| NPI | 1659765808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MT-2824) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2824) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-11-14 |