NPI | 1477216455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72747) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: BACB725173) |
Enumeration Date | 2021-10-18 |
Last Update Date | 2024-05-05 |