NPI | 1245860980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-79578) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-105788) |
Enumeration Date | 2020-01-22 |
Last Update Date | 2025-03-06 |