NPI | 1477103208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49321) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-71096) |
Enumeration Date | 2019-09-13 |
Last Update Date | 2024-02-19 |