NPI | 1205373867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42788) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: RBT-16-14386) | |
Enumeration Date | 2017-01-20 |
Last Update Date | 2021-08-20 |