| NPI | 1316303464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-15-21045) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72065) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |