NPI | 1518684901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 22-216914) |
103K00000X Behavior Analyst | |
Enumeration Date | 2022-10-26 |
Last Update Date | 2024-07-25 |