NPI | 1437789690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-71189) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-108811) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2024-02-16 |