| NPI | 1841626496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2838) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-43656) |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2024-04-05 |