NPI | 1497286736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51459) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10341) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2021-07-26 |