NPI | 1790431765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-80656) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-15911) |
Enumeration Date | 2022-02-28 |
Last Update Date | 2025-04-16 |