NPI | 1497212922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-53866) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-17-36187) |
103K00000X Behavior Analyst (Licence: TX 4489) | |
Enumeration Date | 2019-02-20 |
Last Update Date | 2021-11-01 |