NPI | 1528328432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-12-12621) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-12-4466) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2016-07-14 |