| NPI | 1740623982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-25-85271) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: TX 08368) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2025-10-27 |