NPI | 1134571789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-10784) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL L522-160-75-596-0) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2022-03-29 |