| NPI | 1790063790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-07-3550) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61752) |
| 106H00000X Marriage & Family Therapist (Licence: TX 200964) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |