NPI | 1568104891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 7789) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-1534-384715) |
Enumeration Date | 2022-04-07 |
Last Update Date | 2024-11-21 |