| NPI | 1720272180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-57103) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 60901) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-03-29 |