NPI | 1124410568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45156) |
Additional Taxonomies | 106S00000X Behavior Technician |
222Q00000X Developmental Therapist | |
Enumeration Date | 2015-02-23 |
Last Update Date | 2020-11-21 |