NPI | 1215404793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-22-13545) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-52984) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2022-03-17 |