NPI | 1417489303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57365) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-03-30 |
Last Update Date | 2022-02-07 |