| NPI | 1679308407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3422) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 71437) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |