| NPI | 1255563854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 12661) |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 174400000X Specialist | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-09-30 |