NPI | 1396982724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-15-18562) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 0-08-2632) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2021-10-29 |