NPI | 1265952238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA-1-20-44108) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-08370) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2022-07-21 |