NPI | 1194478370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB637778) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB637778) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2022-01-28 |
Last Update Date | 2025-01-29 |