NPI | 1215578737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61049635) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-17-32313) |
Enumeration Date | 2019-10-06 |
Last Update Date | 2022-06-30 |