| NPI | 1336695246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74979) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-09-13 |