NPI | 1376373464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74626) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BCBA-1-24-74626) |
Enumeration Date | 2024-08-05 |
Last Update Date | 2025-01-06 |