| NPI | 1902075393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-15-18855) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7104884-3501) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2016-09-28 |