| NPI | 1033639828 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4329) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88064) | 
| Enumeration Date | 2017-06-22 | 
| Last Update Date | 2025-10-05 |