| NPI | 1851868145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80411) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 16-12878) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2022-07-30 |