| NPI | 1225306186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-15-18714) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 65245) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2020-12-21 |