NPI | 1689236150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2880) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-07-03 |
Last Update Date | 2022-04-04 |