NPI | 1023570264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-64341) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-04-05 |
Last Update Date | 2023-03-07 |