NPI | 1043839384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-19-38843) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3336) |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-06-14 |