NPI | 1053966440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-19-90947) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL Rbt-19-90947) |
Enumeration Date | 2019-08-03 |
Last Update Date | 2023-06-13 |