| NPI | 1891060158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7727) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66471) |
| 103K00000X Behavior Analyst (Licence: TX 1181) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-22597) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-01-10 |