NPI | 1659654234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-10-7618) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1107618) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2017-01-30 |