NPI | 1477022499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-66436) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-70833) |
Enumeration Date | 2018-11-20 |
Last Update Date | 2023-06-27 |