NPI | 1235507047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51867) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-15-6572) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2021-08-16 |