NPI | 1093218323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-53686) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-18-51173) |
Enumeration Date | 2018-03-13 |
Last Update Date | 2022-06-01 |