| NPI | 1679879076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1087) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: TX 32757) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2021-12-07 |