NPI | 1093236531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-28115) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 1132485171) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2024-02-08 |