| NPI | 1740231992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-37837) |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3929) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-09-24 |