NPI | 1134615958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-47006) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-59920) |
Enumeration Date | 2018-07-04 |
Last Update Date | 2021-01-18 |