NPI | 1225678584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67613) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-109627) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2024-09-16 |