NPI | 1427391317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-13-14790) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH000961) |
251S00000X | |
Enumeration Date | 2013-03-29 |
Last Update Date | 2022-03-02 |