NPI | 1144765058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-26633) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-16-7517) |
Enumeration Date | 2016-12-31 |
Last Update Date | 2021-09-08 |