| NPI | 1831654342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002337) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106H00000X Marriage & Family Therapist (Licence: AL L325) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2026-06-16 |