NPI | 1114674132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77217) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-185398) |
Enumeration Date | 2022-03-09 |
Last Update Date | 2024-11-11 |