| NPI | 1518213669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2311) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36402) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2021-04-26 |