| NPI | 1710534573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93072) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2025-05-30 |