| NPI | 1467898197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 360871-2501) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 8317648-2506) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2021-01-19 |