NPI | 1033783352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-67521) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-20-127618) |
Enumeration Date | 2021-05-20 |
Last Update Date | 2023-08-22 |