NPI | 1427605039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-20-40813) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT BCBA321681) |
Enumeration Date | 2019-08-20 |
Last Update Date | 2020-04-29 |