NPI | 1215482690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BACB 1-14-15399) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS 1148) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |