| NPI | 1861622805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56438) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2968) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2025-08-18 |