NPI | 1750855748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-60893) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-48892) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2024-09-24 |