NPI | 1063061893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-64842) |
Additional Taxonomies | 106S00000X Behavior Technician |
106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13664) | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2023-05-17 |