NPI | 1497365258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT 1-22-62683) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-4516) |
106S00000X Behavior Technician (Licence: CO 19-104832) | |
Enumeration Date | 2020-08-06 |
Last Update Date | 2025-03-09 |