NPI | 1104408012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-23-63698) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA 21162116) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2023-04-16 |