NPI | 1396279063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51433) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL BCaBa0-18-9366) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2024-10-06 |