NPI | 1174176986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-64980) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-82332) |
Enumeration Date | 2019-07-21 |
Last Update Date | 2023-04-04 |