| NPI | 1427624600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93857) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2026-05-18 |