NPI | 1033717699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-73866) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: FL 20-140106) | |
Enumeration Date | 2020-10-15 |
Last Update Date | 2024-07-05 |