NPI | 1669857900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-21274) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2109) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2020-04-25 |