| NPI | 1720555931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 18-68018) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91967) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2026-04-20 |