| NPI | 1770779597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-09-5013) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2884) |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2018-03-17 |