| NPI | 1720332737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-87578) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0167079) |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT3959) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2026-02-20 |