| NPI | 1225584915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 87895) |
| 103K00000X Behavior Analyst (Licence: 1-19-34483) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-02-14 |