NPI | 1215572771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA-1-22-60094) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-16-24535) |
Enumeration Date | 2019-11-08 |
Last Update Date | 2022-07-01 |