NPI | 1407238850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-52310) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6504) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2025-09-08 |