NPI | 1578060406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53447) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11294) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2025-01-06 |