NPI | 1972816098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-7809) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA308) |
Enumeration Date | 2010-07-18 |
Last Update Date | 2017-04-14 |