| NPI | 1750894358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3418) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MT3418) |
| 104100000X Social Worker (Licence: FL CBHCMS101103) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2023-12-11 |