NPI | 1629448741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-15-18816) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 877) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2021-12-15 |