NPI | 1316623937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-83388) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-261801) |
Enumeration Date | 2023-06-27 |
Last Update Date | 2025-08-13 |