NPI | 1073073284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-21-56874) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-03-22 |
Last Update Date | 2023-03-29 |