NPI | 1114417482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-66068) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-41626) |
Enumeration Date | 2018-05-13 |
Last Update Date | 2023-07-05 |