| NPI | 1497159479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 36526) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 36526) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |