NPI | 1215414958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-21-49930) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: CO RBT-18-61575) | |
Enumeration Date | 2018-07-25 |
Last Update Date | 2021-05-14 |