| NPI | 1427540798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93168) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2026-03-11 |