NPI | 1205597333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56328) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-123910) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2024-10-10 |