NPI | 1821623380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-20-41189) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-20-41189) |
Enumeration Date | 2020-03-05 |
Last Update Date | 2023-01-10 |