NPI | 1710341326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002759) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-22-61445) |
174400000X Specialist (Licence: PA BH002759) | |
Enumeration Date | 2016-04-09 |
Last Update Date | 2022-09-16 |