| NPI | 1891127379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 2449) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2025-05-30 |