NPI | 1669907341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51403) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11006) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2021-07-25 |