NPI | 1124692470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-24-71490) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-21-167-473) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2024-03-04 |