NPI | 1093931859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1380) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19463) |
103K00000X Behavior Analyst (Licence: TX 1-05-2113) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2024-08-02 |