| NPI | 1861593600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-35841) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2352) |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT740) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-05-06 |