NPI | 1285257360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-70396) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL rbt-20-117117) |
Enumeration Date | 2020-05-22 |
Last Update Date | 2024-02-17 |