NPI | 1336772482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-52877) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-21-52877) |
Enumeration Date | 2020-02-18 |
Last Update Date | 2021-09-01 |