NPI | 1235771494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: WA CBT.CB.60849159) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA61087326) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2023-01-12 |