NPI | 1144841610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-52567) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-117153) |
Enumeration Date | 2020-05-06 |
Last Update Date | 2022-08-02 |