NPI | 1518540400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-12097) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-67273) |
Enumeration Date | 2021-04-29 |
Last Update Date | 2022-06-02 |