NPI | 1477090660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43014) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB321335) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2021-05-27 |