NPI | 1215442710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-17-43525) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-24-72429) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2024-06-08 |