NPI | 1114481587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: GA 0-18-9385) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-01-29 |