NPI | 1083235501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-24-73766) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO BACB465780) |
Enumeration Date | 2020-05-06 |
Last Update Date | 2024-09-03 |