| NPI | 1093007494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82614) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2024-07-08 |