NPI | 1215589163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-51028) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-48830) |
Enumeration Date | 2019-07-11 |
Last Update Date | 2021-06-30 |