| NPI | 1538741897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 96911) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-109529) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2026-06-30 |