NPI | 1952944605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205849) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-10-25 |
Last Update Date | 2025-07-31 |