NPI | 1154836088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-32807) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-8611) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2020-03-29 |