NPI | 1316682131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-79616) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-214834) |
Enumeration Date | 2022-05-05 |
Last Update Date | 2025-03-01 |