NPI | 1922456508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-20-43468) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL V462533969190) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2020-08-12 |