NPI | 1790294239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 65632) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-12-10259) |
Enumeration Date | 2017-09-27 |
Last Update Date | 2017-09-27 |