NPI | 1417463928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ID 1-18-30572) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-39249) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2022-09-07 |