NPI | 1487002648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-48223) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-17-7861) |
Enumeration Date | 2016-05-28 |
Last Update Date | 2021-05-17 |