| NPI | 1780297242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95950) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 37395989) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2026-06-24 |