NPI | 1508426255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-58383) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-43820) |
Enumeration Date | 2019-06-15 |
Last Update Date | 2023-10-16 |