| NPI | 1760972301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-17-25250) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 92441) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-06-23 |