| NPI | 1154619484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70010) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2016-02-23 |