NPI | 1083004618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-20-46831) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0124437) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2022-06-20 |