NPI | 1609467018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75597) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11573) |
Enumeration Date | 2021-01-28 |
Last Update Date | 2024-09-23 |