NPI | 1760006795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-19-38919) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 15BC00202000) |
Enumeration Date | 2020-06-05 |
Last Update Date | 2025-06-27 |