| NPI | 1194224691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67008) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-13-13656) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |