NPI | 1801625686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-78266) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-223213) |
Enumeration Date | 2024-07-30 |
Last Update Date | 2025-01-17 |