| NPI | 1548506298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-18-31576) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 004570) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2020-09-21 |