NPI | 1447708391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-14-16058) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA247) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2024-09-06 |