NPI | 1275284325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-73691) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-194779) |
Enumeration Date | 2022-01-11 |
Last Update Date | 2024-06-22 |