NPI | 1194173534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA-1-21-49544) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-49544) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2024-09-23 |