NPI | 1730702960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-4550) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5800) |
103K00000X Behavior Analyst (Licence: 1-23-64742) | |
103K00000X Behavior Analyst (Licence: CA 1-23-64742) | |
Enumeration Date | 2020-05-21 |
Last Update Date | 2023-07-18 |