| NPI | 1285065052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-17-26192) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64745) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2019-08-09 |