NPI | 1316571409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-25-78893) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 19-5609-192832) |
Enumeration Date | 2020-02-27 |
Last Update Date | 2025-01-27 |