| NPI | 1871852947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67064) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-12073) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-10-25 |