| NPI | 1508418658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66624) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2021-11-09 |