NPI | 1407553662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PR 1-24-71892) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: PR RBT-22-199838) |
Enumeration Date | 2023-02-08 |
Last Update Date | 2024-04-03 |