NPI | 1194267674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-16-21951) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA Bh003268) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2016-11-15 |