NPI | 1376292102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-62539) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-150824) |
Enumeration Date | 2022-03-21 |
Last Update Date | 2023-02-13 |