NPI | 1558897843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-54323) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 12154323) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2024-09-27 |