NPI | 1063884948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 11520131) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: 1-15-20131) |
Enumeration Date | 2015-10-30 |
Last Update Date | 2025-02-16 |