NPI | 1538676978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001151) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-15-06128) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2022-08-12 |