NPI | 1528535192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13391) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-69285) |
Enumeration Date | 2018-10-31 |
Last Update Date | 2022-01-24 |