| NPI | 1770913584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-15910) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39245) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2023-02-14 |