NPI | 1306466800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 627) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-11-8102) |
Enumeration Date | 2020-04-24 |
Last Update Date | 2023-06-02 |