NPI | 1235439555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1871) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63843) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2021-04-04 |