NPI | 1093397077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-21-49427) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-49427) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2022-09-19 |