NPI | 1588218283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-18-33569) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 152.000840) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2025-06-12 |