| NPI | 1154837573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 109872) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: TX RBT-1735134) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2025-05-20 |