| NPI | 1679903371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65164) |
| 101Y00000X Counselor (Licence: TX 65164) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2024-06-12 |