| NPI | 1538303375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50206) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2020-09-03 |