| NPI | 1124334610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14784) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-09-5283) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2012-03-05 |