NPI | 1295243111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-21-53480) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-16-21252) |
106E00000X Assistant Behavior Analyst (Licence: TN 0-19-10061) | |
Enumeration Date | 2018-01-12 |
Last Update Date | 2021-09-30 |