NPI | 1518619618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-56406) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-21-56406) |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-10-24 |