NPI | 1013594720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75566) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-11749) |
Enumeration Date | 2021-03-27 |
Last Update Date | 2024-09-10 |