| NPI | 1467929208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83990) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-48413) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2026-06-09 |