NPI | 1295335008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-24-73656) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-18-61531) |
Enumeration Date | 2020-10-30 |
Last Update Date | 2024-06-21 |