NPI | 1144821869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-66070) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-142703) |
Enumeration Date | 2020-11-09 |
Last Update Date | 2023-08-08 |