NPI | 1356842777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-20-46667) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-43915) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2025-01-20 |