| NPI | 1598015653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-65113) |
| Additional Taxonomies | 174400000X Specialist |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-04-11 |