NPI | 1588029862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-60583) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA D8170671) |
Enumeration Date | 2015-12-30 |
Last Update Date | 2022-08-29 |