NPI | 1285056861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-23-65312) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-19-99028) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-01-15 |
Last Update Date | 2023-04-25 |