| NPI | 1881373777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39727) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-34551) |
| 103TS0200X Psychologist, School (Licence: TX 71143) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |