| NPI | 1700743564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 40807) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-20-43939) |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |