NPI | 1114786936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-24-71932) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-21-168058) |
Enumeration Date | 2024-03-14 |
Last Update Date | 2024-08-28 |