NPI | 1154820835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12369122) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-17-31403) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2023-11-09 |