NPI | 1326538174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-64457) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-55639.) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2023-03-24 |