| NPI | 1326501396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-19-35317) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80368) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |