NPI | 1104483312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DC 1-21-57266) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-05-22 |
Last Update Date | 2022-04-02 |