NPI | 1164985545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-75912) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-04-11 |
Last Update Date | 2024-09-23 |