NPI | 1285908012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10183254) |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician (Licence: OR ABA-IN-10179391) | |
247200000X Technician, Other | |
Enumeration Date | 2012-02-24 |
Last Update Date | 2017-05-05 |