NPI | 1215388558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1322) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-16-22409) |
103K00000X Behavior Analyst (Licence: OK 1-1622409) | |
103T00000X Psychologist (Licence: TX 37235) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-10-22 |