NPI | 1326497694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54242) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-22533) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2021-12-01 |