| NPI | 1043613698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37168) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-12-12684) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2019-04-30 |