| NPI | 1043649098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-13-14826) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39197) |
| Enumeration Date | 2013-11-09 |
| Last Update Date | 2021-10-29 |