NPI | 1689099624 |
---|---|
Professional Name | MELISSA THIBODAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-050) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2761) |
Enumeration Date | 2014-02-27 |
Last Update Date | 2018-02-19 |