NPI | 1366026643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69416) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-147652) |
Enumeration Date | 2021-05-12 |
Last Update Date | 2023-11-25 |