NPI | 1194339598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76166) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-131936) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2024-10-17 |