| NPI | 1871950048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37702) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-15-19471) |
| 103T00000X Psychologist (Licence: TX 37702) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2025-01-09 |