NPI | 1023619855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76919) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-131287) |
Enumeration Date | 2020-11-06 |
Last Update Date | 2024-11-01 |