| NPI | 1043548829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64928) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-02-0525) |
| Enumeration Date | 2009-12-06 |
| Last Update Date | 2025-07-28 |