NPI | 1134729569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-51384) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-75465) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2023-08-31 |