NPI | 1326357740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-08-4586) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-08-4586) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2021-05-06 |