NPI | 1578951950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 9497005-2506) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9497005-3501) |
106E00000X Assistant Behavior Analyst (Licence: UT 9497005-2507) | |
Enumeration Date | 2015-01-07 |
Last Update Date | 2023-01-27 |