NPI | 1295377422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-39328) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-62163) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2020-01-13 |