| NPI | 1124758842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5309) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 5309) |
| 106S00000X Behavior Technician (Licence: TX 192019) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-09-23 |