NPI | 1255907648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-55008) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC RBT-17-28675) |
Enumeration Date | 2021-05-27 |
Last Update Date | 2024-07-25 |