NPI | 1568737781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43714) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-15-6895) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2022-03-30 |