NPI | 1508355389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-24-73172) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-17-44790) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2024-06-17 |