| NPI | 1952811549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87089) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-01-17 |