NPI | 1730639360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82996) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82996) |
106S00000X Behavior Technician | |
Enumeration Date | 2016-10-06 |
Last Update Date | 2022-11-23 |