NPI | 1336704238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74723) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-79552) |
Enumeration Date | 2019-05-06 |
Last Update Date | 2024-08-19 |