NPI | 1184101396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WY 1-23-69714) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-18-60475) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2023-11-22 |