NPI | 1356940902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-23-67003) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: SD BACB623132) |
106S00000X Behavior Technician (Licence: SD RBT-20-138432) | |
Enumeration Date | 2020-10-23 |
Last Update Date | 2023-07-27 |