NPI | 1871944751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-42586) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000603) |
Enumeration Date | 2016-06-22 |
Last Update Date | 2022-03-25 |