| NPI | 1922214832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34439) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-09-6584) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-11-01 |