NPI | 1700395241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51599) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-19-10005) |
Enumeration Date | 2017-09-27 |
Last Update Date | 2022-07-21 |