NPI | 1801420922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53786) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10647) |
Enumeration Date | 2020-02-27 |
Last Update Date | 2021-11-29 |