| NPI | 1871086611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001892) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-01-10 |