| NPI | 1922485846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89038) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-05-15 |