| NPI | 1780257840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 98939) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-17 |
| Last Update Date | 2025-06-20 |