NPI | 1316475445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-37295) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-18732) |
Enumeration Date | 2017-06-02 |
Last Update Date | 2020-03-12 |