NPI | 1326475575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 1-20-46743) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2013-10-02 |
Last Update Date | 2021-03-22 |