NPI | 1003259094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-21-55564) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 2196985) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2023-02-16 |