NPI | 1720272180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-57103) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 60901) |
106S00000X Behavior Technician | |
Enumeration Date | 2007-08-29 |
Last Update Date | 2023-03-29 |