NPI | 1124694583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-22-60550) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC RBT-19-82086) |
Enumeration Date | 2021-05-27 |
Last Update Date | 2023-05-11 |