NPI | 1639589476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-19-40094) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-13-5565) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2020-01-01 |