NPI | 1598039422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-09-5639) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1095639) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2022-04-26 |