NPI | 1043981921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12938) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-116414) |
101YM0800X Counselor, Mental Health (Licence: FL IMH24634) | |
Enumeration Date | 2021-09-21 |
Last Update Date | 2024-06-09 |