| NPI | 1649836107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 97638) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2026-01-06 |