| NPI | 1790181477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-15-18128) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 71038) |
| 101YP2500X Counselor, Professional (Licence: TX 71038) | |
| 103K00000X Behavior Analyst (Licence: 1-15-18128) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2023-10-18 |