| NPI | 1821587213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-10113) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66058) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |