| NPI | 1720517436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4594) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-22-60585) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-03-15 |