NPI | 1275148884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-44361) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-20-44361) |
Enumeration Date | 2020-09-10 |
Last Update Date | 2023-04-13 |