| NPI | 1437695814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 2524-5982) |
| 103K00000X Behavior Analyst (Licence: TX 4400) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2023-04-12 |