NPI | 1487147617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46717) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10851) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2020-12-22 |