| NPI | 1316056476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-09-5158) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: TX 12500) | |
| 103K00000X Behavior Analyst (Licence: FL 1-09-5158) | |
| 103K00000X Behavior Analyst (Licence: TX 1078) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-07-28 |