NPI | 1164950895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-44635) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-61708) |
Enumeration Date | 2017-05-25 |
Last Update Date | 2020-10-12 |