NPI | 1689156739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-20-43065) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004084) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2025-09-24 |