| NPI | 1467126342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX BACB69682) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 87707) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2025-12-01 |