NPI | 1386180065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-22620) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-16-22620) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2022-03-21 |