| NPI | 1417124520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-02-0986) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: TX 1-02-0986) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2010-08-10 |