| NPI | 1023622545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: TX RBT-20-133301) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-21-54928) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2024-10-02 |