NPI | 1730732736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46696) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 01910062) |
Enumeration Date | 2019-07-18 |
Last Update Date | 2021-09-25 |