NPI | 1265944383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-17-25794) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 152000675) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2025-05-01 |