NPI | 1497302582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-18-32206) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 15BC00068000) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2025-06-17 |