NPI | 1124440144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-59983) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL B362433927870) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2019-06-07 |