NPI | 1821543935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46838) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-9061) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2021-02-15 |