| NPI | 1477133205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 37883) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-21-48948) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |