NPI | 1134627383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-19-40382) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NJ RBT-16-25979) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2022-09-09 |