NPI | 1164095733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-21-51682) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 3067) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2025-07-11 |