NPI | 1326572678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-79993) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13037) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2025-03-20 |