| NPI | 1740754613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83382) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2022-03-22 |