| NPI | 1366947590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07029) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-18-29448) |
| 103K00000X Behavior Analyst (Licence: TX 1406) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-09-07 |