| NPI | 1972033595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0949) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health (Licence: UT 11785998-6004) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2026-04-28 |