NPI | 1104412840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-51429) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-70655) |
Enumeration Date | 2020-12-16 |
Last Update Date | 2023-12-12 |