NPI | 1366947590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 07029) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-18-29448) |
103K00000X Behavior Analyst (Licence: TX 1406) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2023-09-07 |