NPI | 1285203943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-79053) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-23-14382) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2025-01-30 |