| NPI | 1679083042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3151) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |