NPI | 1114682184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-77212) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-21-191587) |
Enumeration Date | 2021-11-04 |
Last Update Date | 2024-11-21 |