| NPI | 1770058778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 33388) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-18-32382) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2023-08-02 |