| NPI | 1497090880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68280) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-12-10316) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2015-04-22 |