NPI | 1174111983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-16293) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-150304) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2021-01-07 |
Last Update Date | 2025-07-21 |