| NPI | 1033639828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 88064) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4329) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-02-14 |