NPI | 1538641089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NE 1-22-62493) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NE 18-70995) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-08-31 |
Last Update Date | 2022-11-21 |