NPI | 1497204325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-43769) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-57737) |
Enumeration Date | 2016-10-04 |
Last Update Date | 2022-07-01 |