| NPI | 1235583964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-16-21583) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 58957) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2020-07-08 |