NPI | 1326635699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75247) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-24-14975) |
Enumeration Date | 2020-12-21 |
Last Update Date | 2024-08-28 |