NPI | 1982358487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BCBA-1-21-54943) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI BACB12154943) |
Enumeration Date | 2022-02-04 |
Last Update Date | 2022-02-04 |