NPI | 1306491766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46009) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-62866) |
Enumeration Date | 2019-08-02 |
Last Update Date | 2022-03-31 |