NPI | 1689998973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-09-6673) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA056) |
Enumeration Date | 2010-03-16 |
Last Update Date | 2024-02-08 |