NPI | 1114473337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-05789) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-15-05789) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2021-09-23 |