NPI | 1821587213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-10113) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66058) |
Enumeration Date | 2018-05-02 |
Last Update Date | 2018-05-02 |