NPI | 1366134892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-72162) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-22-203350) |
Enumeration Date | 2023-05-23 |
Last Update Date | 2024-05-09 |