NPI | 1407354301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60982763) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR ABA-B-10201031) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-01-25 |
Last Update Date | 2019-08-21 |