NPI | 1013415850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-44959) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA 17-45037) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2020-10-28 |