NPI | 1972094126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-18-33374) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-16-18713) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2021-06-15 |