| NPI | 1992368591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 11935118) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 11935118) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |