NPI | 1316494685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51502) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9860) |
Enumeration Date | 2016-09-05 |
Last Update Date | 2024-07-01 |