| NPI | 1063052926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93630) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-07-29 |