NPI | 1043792906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59467) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: TX RBT-18-57017) | |
Enumeration Date | 2018-09-06 |
Last Update Date | 2023-01-07 |