NPI | 1427614072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-76339) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-04-23) |
Enumeration Date | 2019-05-18 |
Last Update Date | 2024-10-31 |