NPI | 1043548829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 0-02-0525) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64928) |
Enumeration Date | 2009-12-06 |
Last Update Date | 2025-01-09 |