| NPI | 1487272027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 79962) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3451) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-08-18 |