NPI | 1346772852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69043) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-56304) |
224Z00000X Occupational Therapy Assistant (Licence: FL 17886) | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-12-18 |