NPI | 1164055521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: CA 0-23-14241) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-95660) |
Enumeration Date | 2020-02-13 |
Last Update Date | 2023-02-10 |