NPI | 1124601661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA D6906124) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA D6906124) |
Enumeration Date | 2021-05-03 |
Last Update Date | 2021-09-28 |