| NPI | 1972730711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 65818) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2014-12-26 |