NPI | 1740861699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-51907) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-48192) |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-07-29 |