| NPI | 1407692189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95170) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: TX 95170) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2026-04-28 |