NPI | 1265031298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84748) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-137046) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2025-10-07 |