| NPI | 1770919003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70897) |
| 103K00000X Behavior Analyst (Licence: TX 1161) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2025-11-24 |