NPI | 1922516673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-50792) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 3219) |
Enumeration Date | 2018-01-16 |
Last Update Date | 2021-07-26 |