| NPI | 1508258096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1982) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71230) |
| 103K00000X Behavior Analyst (Licence: 1-14-17650) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 71230) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2026-08-14 |