| NPI | 1851607923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-12-10491) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000418) |
| 225A00000X Music Therapist (Licence: GA MUT000049) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2016-07-18 |