| NPI | 1396443552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40035) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1042) |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2024-06-04 |