NPI | 1477031623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-20-44389) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-18-59462) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2022-02-01 |