| NPI | 1669916938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT3621) |
| 103K00000X Behavior Analyst (Licence: FL MT3621) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2024-03-29 |